“…Inhibition of GSH synthesis leads to increased free radical formation (Merad‐Boudia et al, 1998), increased nitric oxide synthase activity (Heales et al, 1996), decreased mitochondrial function (Heales et al, 1995 ; Merad‐Boudia et al., 1998), increased excitotoxic vulnerability (Bridges et al, 1991), and larger infarct areas after ischemia (Mizui et al, 1992). A decrease in tissue GSH concentration is observed after ischemia and excitotoxicity (Orwar et al, 1994 ; Shivakumar et al., 1995 ; Floreani et al, 1997) ; possible mechanisms include increased breakdown of GSH and inhibited synthesis or efflux of GSH and its oxidized form, GSSG. Indeed, efflux of glutathione occurs in rat brain in ischemia (andiné et al., 1991 ; Orwar et al, 1994 ; Yang et al, 1994), and a massive efflux of GSH from apoptotic nonneuronal cells is suggested as an early step toward cell death (van den Dobbelsteen et al, 1996 ; Macho et al, 1997 ; Ghibelli et al, 1998).…”